Organization
ARKANSAS OTOLARYNGOLOGY CENTER-AUDIOLOGY
Active
Parent organization
ARKANSAS OTOLARYNGOLOGY CENTER, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARKANSAS OTOLARYNGOLOGY CENTER, P.A.
Authorized official
MRS. DELAINE MARTIN (OFFICE MANAGER)
(501) 227-5050
Entity
Organization
Contact information
Practice address
10201 KANIS RD, LITTLE ROCK, AR 72205-6203
(501) 227-3800
(501) 907-9750
Mailing address
10201 KANIS RD, LITTLE ROCK, AR 72205-6203
(501) 227-3800
(501) 907-9750
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104325720
—
AR
Enumeration date
11/14/2008
Last updated
11/21/2008
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